Santos, Lori Lee Correia

Santos, Lori Lee Correia is an individual health care provider with primary practice located at 11965 Pellicano Dr , El Paso TX 79936-6829. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Santos, Lori Lee Correia can be contacted via phone (915) 855-2337.

Contact Information

Primary practice address
11965 Pellicano Dr El Paso TX 79936-6829
Phone: (915) 855-2337
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 20842 Texas

Profile Details

NPI number 1023105814
LBN Legal business name Santos, Lori Lee Correia
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Jul 28th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023105814 NPPES
Texas Other 1381372 UNITED CONCORDIA
Texas MEDICAID 0017554 UNITED CONCORDIA
Texas MEDICAID 150189201 UNITED CONCORDIA

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